# LOUISBURG PPM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720225691
- **Authorized official:** STANLEY D MCLEMORE (SR. VP OPERATIONS FINANCE)
- **Authorized official phone:** (239) 598-3131

## Contact information

- **Practice address:** 1501 N BICKETT BLVD, SUITE G, LOUISBURG, NC 27549-2178
- **Practice address phone:** (919) 496-5774
- **Mailing address:** PO BOX 239, LOUISBURG, NC 27549-0239
- **Mailing address phone:** (919) 496-5774

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2009
- **Last updated:** 01/16/2009